Lola Mae Wilson, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

95436030 Issued in WI

Practice address

5148 N 71St St
Milwaukee, WI 53218

Phone

(414) 464-0508

NPI assigned

Dec 18, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518020148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 WEST CHAMBERS",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53210",
            "telephone_number": "414-873-4468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5148 N 71ST ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53218",
            "telephone_number": "414-464-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "LOLA",
        "middle_name": "MAE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WI",
            "license": "95436030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39988700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keyvonia Wilson, PHLEBOTOMY
• Kimula A Wilson, RN, FNP-BC, APNP
• Lasonya Carol Wilson, LPN
• Lauren N Wilson, PA-C
• Leonard W Wilson
• Luke Wilson, DO
• Mark Wilson, PHARMD
• Pamela Denise Wilson, M.D.
• Patricia A Wilson, CHW
• Rachel Elizabeth Wilson, MD

• Home Health Registered Nurse in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Home Health Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.